CDRH Customer Satisfaction Survey

Customer/Partner Satisfaction Service Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0360 can be found here:

Documents and Forms

Document Name Document Type
Survey Quesionnaire.docx Other-Survey Instrument
Survey Quesionnaire.docx Other-Survey Instrument
0360 OMB Approval Memo - CDRH Customer Satisfaction Survey 2021.docx OMB approval memo IC Document
0360 OMB Approval Memo - CDRH Customer Satisfaction Survey 2021.docx OMB approval memo IC Document

Information Collection (IC) Details

IC Title:	CDRH Customer Satisfaction Survey	Agency IC Tracking Number:	CDRH

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Instrument			Survey Quesionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB approval memo	0360 OMB Approval Memo - CDRH Customer Satisfaction Survey 2021.docx	11/03/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.